Organization
SENTARA MEDICAL GROUP
Active
Other names
Gloucester Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 687-1076
Entity
Organization
Contact information
Practice address
5659 PARKWAY DR, SUITE 100, GLOUCESTER, VA 23061-3782
(804) 210-1005
(804) 210-1009
Mailing address
PO BOX 2502, NORFOLK, VA 23501-2502
(804) 210-1005
(804) 210-1009
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/26/2007
Last updated
02/02/2009
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